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Home My WebLink About1192 ABELIA AVE; ; CB982366; PermitBUILDING PERMIT Permit No: CB9823bb 07/24/98 15:04 Froiect No: A9803125 Page 1 of 1 Development No : Job Address: 1192 ARELIA AV Suite: Permit Type: MISCELLANEOUS Parcel No: 214-561-17-00 Lot.#: Valuation: 2,592 Construction Type: NEW Occupancy Group: Reference#: Status : FENDING Description: 216 SF DECK PER CITY SPECS Applied: 07/24/98 I Entered By: UT Apr/Issue: Appl/Ownr : L R BRANDON 520 BRAUER PT 619-445-8209 ALPINE CA 91091 *** Fees Required **.* llected S Credits """""""""_ Fees : Adjustments: Qlm QOOLW Total Fees : C-PRR 1' 87.01) Fee description Ex.t. fee """""""""" """ *""_ """""" Miscellaneous Fee #$ 67.00 * MISCELLANEOUS TI3 87.00 *x* ""_ 02 87.00 Data PERMIT FEE ""_ * PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 ' iFOR OFFICE USE ONLY, E& PLAN CHECK NO. 98, EST. VAL. Plan Ck. Deposit Validated By Date ?,I!! 0 i hew and will maintain a certificate Of consent to self-insure for worked compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this parmit io issued. issued. My worker's compensation insurance carrier nnd Poiicy number ale: 0 i have and will maim*in worken' compsnsation. as required by Section 3700 of the Labor Code. for the performance of the work for which this permit is Insurance Company Poiicy No. (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS lb1001 OR LESS1 Expiration Date x CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to ecome subject to the Workers' Cornpenration Laws of California. WARNINQ Fdlure to "cure workem' compnution cownga Is udswtul, and shall sYbje-3 an employar to crlminal pn.l11es and ElYil finas up to one hundred damage' 8s pmv1d.d lor in Section 3106 Of tho Labor sod., interest and mtomey's fees.. ~ ~ ~ ~il . i.,_ - ~, DATE 7-23-78 . ,,. . I hereby affirm that I am exempt from the Contractor's Licnnse Law for the following reason: ISec. 7044, Business and Rofessionr Code: The Contractor's License Law does not apply to an owner of property Who builds or improves thereon, and who doer 0 I. as owner of the property or my employeas with wages as their sole compensation. will do the work and the structure is not intended or Offered for sale such work himself or through his own employees, provided that such improvsmsntp are not intended or offered for sale. If, however. the building or improvement is sold within one year of completion. the Owner-builder will have the burden Of proving that he did not build or improve for the purposa of We1. Contractor's License Law does not apply to an owner of propenv who builds or improves thweon. and contracts for such projects with Contractorlsl licensed I. as owner of the property. am exclusiveiy contracting with licensed comlactors to ConLtrUCt the project ISec. 7044. Business and Rofssrionr Code: The pursuant to the Contractor's Ucense LawI. 0 I sm Bxempt under Section Business and Rotelllions Code for this reason: 1. I personally plan to provide the major ihbor and materials for construction Of the proposed p~opertv improvement. 0 YES ON0 2. I (have I have not) signed an application for I building permit for the proposed work. 3. I have contracted with the following person Ifirml to provide the proposed Construction (include name I addrars I phone number I Cmtractors license numbarl: 4. i plan to provide ponions of the work, but I have hired the foliowing person to coordinate. supervise and provide the major work linciude name I address I phone number I comractors Iicmse numbsrl: 5. I will provide some of the work, but I have contracted (hired) the fallowing parsons to provide the work indicated linciuds name I address I phone number I tvp. .. ', , , ,, . ,wMPL~T~Is,sEC~DN~OR.~~IDEMUI.B~~~~ONLY.~ , . PROPERTY OWNER SIGNATURE DATE ., is the I)pplicmt or future building Occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Praslsv-Tanner HazadOUS Substance Account Act? 0 YES 0 NO Is the applicant or future building OmupEznt required to obtain a permit from the air poliution Controi district or air quality management district? 0 YES 0 NO is the facility to be Constructed within 1,000 feet Of the outer boundary of a school site? 0 YES NO IF ANY OF THE ANSWERS ARE YES. A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFiCE OF EMERGENCY SERViCES AND THE AIR POLLUTION CONTROL DISTRICT. 8,;. .C(iNSRUIFnON3B1DIN(~~~NCY:.:,,';:. i ,.L ':' , . ''. ,: ' ' .. I hereby affirm that there io a Construction lending agency for the performance of the work for which this permit is issued ISec. 3097lil Civil Code). LENDER'S NAME LENDERS ADDRESS 31; .,ec" ~N~~~~,~, , :i . zh: .;:, ,,1.'" .'. " . . . . . . . . . . ,., ,. I/.>,. ,,,,,.,., ;. :,., .,. .,,..,.,... '. 'I .. ,, . , .. . . , . . , . . . I cenify that I have resd the application and stste that the sbava information is correct and that the information on the plans is accurate. I agree to comply with aIi CRy ordinances and State laws relating to building construction. I hereby authorize reprasantativss of the CitV Of Csrlsbad to enter upon the above mentioned propeny for inspection purpo~es. I ALSO AGREE TO SAM. INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAO AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND EXPENSES WHiCH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA An OSHA permit is required for excavations over 5'0- de0p and demolition or construction Of Structures over 3 stories in height. EXPiRATION: Every permit iswed by the Building Official under the provirionr of thio Coda shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 385 dnvs from the date of such permit 01 if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days ISection 108.4.4 Uniform Building Codel. APPLICANT'S SIGNATURE DATE WHITE Fils YELLOW Applicant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB982366 FOR 09/15/98 DESCRIPTION: 216 SF DECK PER CITY SPECS TYPE: MISC APPLICANT: L R BRANDON JOB ADDRESS: 1192 ABELIA AV OWNER: CONTRACTOR: REMARKS: C/LARRY/619/445-8209 SPECIAL INSTRUCT: TOTAL TIME: CD LVL DESCRIPTION INSPECTOR AREA PD OCC GRP PLANCKX CB982366 CONSTR. TYPE NEW STE : LOT : PHONE: 619-445-8209 ACT COMMENTS 19 ST Final structural ” ” - ” - ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS 073198 Ftg/Foundation/Piers AP PD ' ,STATE OF CALIFORNIA-STATE AND CONSUMER SEMQS AGENCY PETE WI1SoN. Gmmor Qi " CONTRACTORS STATE LICENSE BOARD y.*d c"lua Dcpranmd PBJS GOETHE ROAD, SACRAMENTO, CALIFORNIA MAILING ADDRESS: P.O. BOX 2- SACRAMENTO, CALIFORNIA P5826 ~llsluner '9; ;;g 14 pl? :<s F"-j::y:, ,- ' . 3 .;, M&IS (916) 366-5153 SL i ,id . ._... . .' EXEMPTION FROM WORKERS' COMPENSATION Pursuant to Section 7125.1 of the Business and Professions Code prior to issuance Of a new license or reinstatement, reactiva- tion. or renewal of an existing license and as a condition of continued maintenance of an existing license, the applicant or Dimtor of Indushial Relations. If the applicant or licensee has no employees, an exemption certificate must be submitted, licensee must have on file a Cenifcate of Workers' Compensation Insurance ora certificate of consent to self-insure from the cenifying under penalty of perjury that he/she does not employ any person in any manner to be subject to the Workers' Compensation laws of California A certificate or exemption is not required on an inactive license. If you do not employ any pason in any manner to be subject to the Workers' Compensation laws of California, complete this exemption certiricate.. Send the completed cenifcate to the Connacrors State. License Board (CSLB) at the address above. NOTE: If the license is qualified by aResponsible Managing Employee (RME). an exemption certificate cannot be submitted. PLEASE TYPE OR PRINT IN INK. FORMS COMPLETED IN PENCIL ARE NOT ACCEPTABLE. LICENSE NUMBER OR PENDING APPLICAllON NUMBER 6 05783 FULL NAME OF BUSINESS (AS IT CURRENTLY APPEARS ON THE RECORDS OF THE CSLB) i , 2. 43IU~do~' Cb . EFFECTIVE DATE - MONTHIDAYMAR. THE EFF'ECnn DATE IS OLDER THAN W DAYS. WE WIU. USE THE TIME STAMP DATE3 / o /i/r/ DAYTIME TELEWONE NUMBER I EVENING TELEPHONE NUMBER on /L?/,, 7/ at IILmNc - - A*' 1 /+-c+, +L//-. + 8;. &KhyNr City ' Cmty sure I under pnalry of pjmy under the laws of the Slaw of California that the above named business does not employ any pem in MY manner so IS 10 become subject to the Woken' Compenulion laws of California I funher cenify ha1 the CSLB will be notilied elhi 90 days of any change which rrnrl1.5 in the business becaning mbjen to the Wokm' CMnpensauon laws of California. SIGNATURE OF OWNER, PARTN€R OR OFFICER- "i!A-.LL / /-hL *. PRINT OR TYPE NAhlE c; ry ,"*-Q<.'," ., ,j?& Qb C,&' .- J 1' r) THIS EXEMPTION WILL REMAN ON RLE UNTIL YOU SOTIFY THE CSLB OF AhY CHANGES. PURSUANTTO SECTION 7083 OF THE BUSISESS AND PROFESSIOKS CODE, FAILURE TO NOTIFY THE CSLB OF ANY CHANGES WITHIS 90 DAYS IS GROLXDS FOR DISCIPLIXARY ACTIOS. 13L40 Pi9:) PI 61581